Transcription of RECRUITER/TRAINER PROHIBITED ACTIVITIES …
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RECRUITER/TRAINER PROHIBITED ACTIVITIES ACKNOWLEDGMENTPRIVACY ACT STATEMENTAUTHORITY: 10 136, Under Secretary of Defense for Personnel and Readiness; DoD Instruction , Standardized Protection Policies Prohibiting Inappropriate Relations Between Recruiters and Recruits, and Trainers and Trainees. PRINCIPAL PURPOSE(S): To document your understanding of the prohibitions identified in section 7 of this form. ROUTINE USE(S): The DoD Blanket Routine Uses found at apply to this collection. DISCLOSURE: Voluntary. However, if you fail to provide the requested information or complete this form, you may not be assigned to recruiter or trainer accordance with DoDI , this form will be read and signed prior to performing recruiting duties or upon assignment to a training command where the individual will be providing an entry-level training. As a minimum, the signed original will be retained in the service member's recruiting/training record while assigned to recruiting or training duty.
1. RECRUITER/TRAINER NAME (Last, First, Middle) 4. UNIT/COMMAND ADDRESS (City, State, ZIP Code) 5. DATE SIGNED (YYYYMMDD) 2. PAY GRADE. 3. UNIT/COMMAND 6. SIGNATURE. 7. I ACKNOWLEDGE AND UNDERSTAND THAT AS A RECRUITER OR TRAINER, I WILL NOT: (Initial) a. Develop, attempt to develop, or conduct a personal, …
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